Individual provider Active NPI

David Carl Ludwig, MD

  • Family Medicine Physician
  • Berea, OH
National Provider Identifier
1629034970
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35065890 Issued in OH
Practice address
1350 W Bagley Rd
Berea, OH 44017-2912
Phone
(440) 816-5188
Fax
(440) 816-5188
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35065890 OH Primary

Addresses

Primary practice location

1350 W Bagley Rd
Berea, OH 44017-2912

Mailing address

1350 W Bagley Rd
Berea, OH 44017-2912
Phone (440) 816-5188

Other identifiers 2

IdentifierTypeStateIssuer
977859MedicaidOH
341842373OtherOHBWC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dludwig@direct.swgeneral.com Southwest General Medical Group Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060911000571 OH Practitioner - Family Practice 2365446002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest General Medical Group IncGroup PAC ID 8527964550, 232 clinicians

Practice addresses (Care Compare)

1330 W Bagley Rd
Berea, OH 44017-2912
Phone (440) 816-2315

1350 W Bagley Rd
Berea, OH 44017-2912
Phone (440) 816-5188

18697 Bagley Rd
Cleveland, OH 44130-3417
Phone (440) 816-6051

4065 Ctr Rd
Brunswick, OH 44212-5325

7255 Old Oak Blvd
Cleveland, OH 44130-3300

7255 Old Oak Blvd
Middleburg Heights, OH 44130-3331

Hospital & facility affiliations

  • Southwest General Home Health Home health agency, Middleburg Heights, OH, CCN 367253
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group Inc CurrentSince Feb 16, 2009 Accepting new patients
Southwest General Medical Group Inc Family Medicine Current Accepting new patients
Southwest General Medical Group, Inc. CurrentSince Feb 16, 2009 Accepting new patients

Locations

1350 W Bagley Rd
Berea, OH 44017
Phone (440) 816-5188

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1629034970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172912",
            "telephone_number": "440-816-5188",
            "fax_number": "440-816-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440172912",
            "telephone_number": "440-816-5188",
            "fax_number": "440-816-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "DAVID",
        "middle_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35065890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "977859",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "341842373",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dludwig@direct.swgeneral.com",
            "affiliation": "Y",
            "affiliationName": "Southwest General Medical Group Inc",
            "address_1": "1350 W Bagley Rd",
            "city": "Berea",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440172912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berea, OH

Sources for this page

Verify at the official NPI Registry.